| NPI | 1407267131 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA CHAITIN-RICHARDS Lcpc 708-586-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180004289) |
| Enumeration Date | 2014-05-15 |
| Last Update Date | 2014-05-15 |