| NPI | 1598535502 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATHEW STEVEN DIEDRICH Owner And Therapist 312-833-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-01-02 |
| Last Update Date | 2024-01-26 |