| NPI | 1487440046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA COSTELLOE Owner 773-870-9839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2026-06-15 |