| NPI | 1639438211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE R EASON-WILLIAMS Partner 773-405-1035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-005158) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 13958) |
| 101YP2500X Counselor, Professional (Licence: IL 178-007097) | |
| Enumeration Date | 2012-05-16 |
| Last Update Date | 2012-05-16 |