| NPI | 1508489014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY ROGERS Owner 312-515-4644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2020-05-19 |
| Last Update Date | 2022-06-25 |