| NPI | 1407695141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA VICENTE LOREDO Owner/Therapist 708-277-9502 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-05-22 |
| Last Update Date | 2024-05-22 |