| NPI | 1598597098 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN GOLDWATER Owner 312-909-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2024-08-14 |
| Last Update Date | 2024-08-14 |