| NPI | 1407226103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON BIGBY Owner 773-564-9763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166000979) |
| Enumeration Date | 2015-10-07 |
| Last Update Date | 2015-10-07 |