| NPI | 1366845224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADRIENNE LYNNE DANCY Owner/Psychotherapist 312-952-2006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: IL 180003903) |
| Enumeration Date | 2014-10-06 |
| Last Update Date | 2014-10-06 |