| NPI | 1437525052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT CONKLIN Owner 312-869-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.008996) |
| Enumeration Date | 2015-08-18 |
| Last Update Date | 2015-08-18 |