| NPI | 1487274080 |
|---|---|
| Former Legal Business Name | CHICAGO INSTITUTE FOR CHANGE |
| Entity Type | Organization |
| Authorized Contact | HEATHER JANE-BATES DENTON Owner 847-323-9679 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| 1041C0700X Social Worker, Clinical | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-04-23 |
| Last Update Date | 2025-12-11 |