| NPI | 1528837036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARRAH ELLISON-MOORE Manager/Therapist 773-368-4878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP1600X Counselor, Pastoral | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2023-12-26 |
| Last Update Date | 2023-12-26 |