| NPI | 1346973278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORA CUNNINGHAM Owner And Operator 773-570-0498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2022-07-07 |