| NPI | 1740865088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA KIANA CARTER Managing Partner 773-610-5190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-03-17 |
| Last Update Date | 2021-03-17 |