| NPI | 1790480895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONIMIA MACBETH Licensed Clinical Professional Cou 312-373-0704 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-30 |
| Last Update Date | 2023-03-30 |