| NPI | 1487137303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY LYNN SPIKINGS Professional Counselor 708-268-6528 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2022-07-21 |