| NPI | 1235672031 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE REICHENBERGER Owner 312-720-7965 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LPC11098) |
| Enumeration Date | 2016-11-28 |
| Last Update Date | 2016-11-28 |