| NPI | 1669677696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA T. THOMPSON President 773-238-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 149.002225) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-07-11 |