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 |