| NPI | 1275223455 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN RUETTIGER Therapist/Sole Member 708-824-7787 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| Enumeration Date | 2023-05-10 |
| Last Update Date | 2023-05-10 |