NPI | 1730861337 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA E PETERSON Manager / Owner 312-278-3771 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
106H00000X Marriage & Family Therapist | |
Enumeration Date | 2023-08-02 |
Last Update Date | 2024-10-04 |