| NPI | 1528397981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERI DEMOSS Licensed Professional Counselor 773-338-2889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006878) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180006878) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180006878) | |
| Enumeration Date | 2009-12-15 |
| Last Update Date | 2009-12-15 |