NPI | 1215299987 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN SCHNEIDER Director / Owner 773-281-7200 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180-001970) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 178-000596) |
106H00000X Marriage & Family Therapist (Licence: IL 178-007170) | |
Enumeration Date | 2012-06-08 |
Last Update Date | 2019-09-24 |