| NPI | 1750986279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANIQUA FORD Owner/Lead Therapist 773-574-2570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2020-12-02 |
| Last Update Date | 2024-05-07 |