| NPI | 1831585751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY KAZUKAUSKAS Owner 312-933-1162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008591) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.008591) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |