NPI | 1780579656 |
---|---|
Entity Type | Organization |
Authorized Contact | SIEMONE SMITH Owner 773-220-6232 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2025-06-11 |
Last Update Date | 2025-06-11 |