NPI | 1245710821 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLE RAYMOND MILLER Director/Lcpc 773-357-6361 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180011166) |
Enumeration Date | 2018-08-14 |
Last Update Date | 2018-08-14 |