| NPI | 1710263488 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATJA AISHA MIMMS C.E.O 312-504-9048 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.007536) |
| Enumeration Date | 2011-10-26 |
| Last Update Date | 2011-10-26 |