| NPI | 1831561265 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA A. ELLIOTT Mental Health Counselor 773-766-7727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.010218) |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2016-11-28 |