| NPI | 1295164531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNE GLENN Administrator 312-262-8867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 041197425) |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |