| NPI | 1376091637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE BELLOSA President 312-420-8597 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180007252) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2016-09-15 |