| NPI | 1962262253 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN BREEN President 312-208-4022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2024-03-21 |
| Last Update Date | 2024-03-21 |