| NPI | 1750983607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRA E WEIDNER President 773-290-1228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| Enumeration Date | 2020-11-14 |
| Last Update Date | 2021-10-13 |