| 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 |