| NPI | 1801273677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DINA ZWIEBEL Lead Clinician 773-669-4778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009454) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2016-09-02 |