| NPI | 1356114466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON TESSERS Director 312-620-0217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 1041C0700X Social Worker, Clinical | |
| 101Y00000X Counselor | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2023-10-31 |
| Last Update Date | 2023-10-31 |