NPI | 1255875936 |
---|---|
Entity Type | Organization |
Authorized Contact | DANNEITA JOHNSON CEO 773-620-6070 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006419) |
Enumeration Date | 2016-12-14 |
Last Update Date | 2019-05-17 |