| NPI | 1477928091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSY TYREE Manager 773-580-9116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.007014) |
| Enumeration Date | 2015-12-08 |
| Last Update Date | 2015-12-08 |