| NPI | 1801508528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENCHELLE R MORRIS Owner/Clinical Therapist 708-831-3943 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2022-12-14 |
| Last Update Date | 2023-10-06 |