| NPI | 1518494210 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESENIA LOPEZ Co Owner 773-895-0883 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180009237) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |