| NPI | 1386970267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRYSTAL FAITH CLAIR Clinical Counselor 312-618-4867 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180.007066) |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2009-10-27 |