| NPI | 1255827549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE BLADES Mental Health Counselor 312-316-5540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA 60752479) |
| Enumeration Date | 2018-07-10 |
| Last Update Date | 2018-07-10 |