| NPI | 1710312939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AIMEE M SOLIS Licensed Professional Counselor 708-204-3555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0011622) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-09-06 |
| Last Update Date | 2025-01-31 |