| NPI | 1568110278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ESTRELLA GONZALEZ Billing And Intake Supervisor 312-578-9990 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-03-11 |
| Last Update Date | 2022-03-11 |