| NPI | 1881020352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEX M THOMAS Sole Proprieter 773-599-3406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180008585) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2014-05-27 |