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 |