| NPI | 1477059913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE L JAMESON Owner 312-371-2646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2018-04-13 |