| NPI | 1609108539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS DEER President 773-826-0398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180003346) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL A51920001A) |
| Enumeration Date | 2010-02-03 |
| Last Update Date | 2014-05-20 |