| NPI | 1467894899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER TAYLOR Clinical Therapist 773-805-0147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007188) |
| Enumeration Date | 2013-07-26 |
| Last Update Date | 2013-07-26 |