| NPI | 1912695099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY T MCCALL Clinical Therapist 773-497-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-04-27 |
| Last Update Date | 2023-05-18 |