| NPI | 1710405006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MARIE COSTANZA President/Lcpc/Psychotherapist 312-788-7874 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180010333) |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-25 |