| NPI | 1871185173 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARA E BRENNECKE Owner 312-405-2784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2021-02-08 |
| Last Update Date | 2021-02-08 |