| NPI | 1962830786 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ROTHWELL Dance/Movement Therapist 312-968-3154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007496) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: 28374) |
| Enumeration Date | 2013-10-15 |
| Last Update Date | 2017-02-07 |