| NPI | 1609259324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA DENTON Counseling Psychologist 312-339-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009481) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 21976) |
| Enumeration Date | 2015-06-30 |
| Last Update Date | 2015-06-30 |