| NPI | 1700107331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWANA FLOWERS Practitioner 708-421-2712 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180005166) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 72000) |
| Enumeration Date | 2010-06-17 |
| Last Update Date | 2014-02-12 |