| NPI | 1760676423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL CHATZIVASILIADIS President / Clinical Director 708-428-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006401) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2007-09-05 |