| NPI | 1235576026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VERNIE R. MANGER Addictions Psychotherapist/ Owner 708-207-1126 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-06-03 |
| Last Update Date | 2014-09-24 |