| NPI | 1346639556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAKUB RANDALL Managing Member 312-771-3475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180007664) |
| Enumeration Date | 2015-01-12 |
| Last Update Date | 2026-09-01 |