| NPI | 1376726398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA L BRYANT EDWARDS C.E.O. 773-355-0436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 106H00000X Marriage & Family Therapist | |
| 102X00000X Poetry Therapist | |
| 1041C0700X Social Worker, Clinical | |
| 103T00000X Psychologist | |
| 103TP2701X Psychologist, Group Psychotherapy | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 103TC0700X Psychologist, Clinical | |
| 103TC2200X Psychologist, Clinical Child & Adolescent | |
| 103TC1900X Psychologist, Counseling | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2008-01-18 |