| NPI | 1407285638 |
|---|---|
| Doing Business As | SASI, ELWOOD P NYTHER |
| Entity Type | Organization |
| Authorized Contact | ELWOOD P NYTHER President/CEO 773-818-9607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 149004694) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 149004694) |
| 101YP1600X Counselor Pastoral | |
| 101YP2500X Counselor Professional (Licence: IL 149004694) | |
| 251S00000X Community/Behavioral Health (Licence: IL 149004694) | |
| Enumeration Date | 2013-11-07 |
| Last Update Date | 2013-11-07 |