| NPI | 1679548093 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN C BORRELLI Director 773-763-4999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-004083) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IL 166-000116) |
| Enumeration Date | 2006-02-20 |
| Last Update Date | 2020-08-22 |