| NPI | 1265104269 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA NEWSOME Director Of Strategy And Operations 312-823-7084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YS0200X Counselor School |
| 103T00000X Psychologist | |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TB0200X Psychologist Cognitive & Behavioral | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 103TS0200X Psychologist School | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 1041S0200X Social Worker School | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry | |
| 221700000X Art Therapist | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QM0855X Clinic/Center Adolescent and Children Mental Health | |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2023-10-04 |