NPI | 1326861907 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA COOK Practice Owner/Sole Therapyprovider 312-561-4292 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2024-11-04 |
Last Update Date | 2024-11-04 |