| NPI | 1972862175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY LYNN President & CEO 773-746-7429 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-006965) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IL 149.014543) |
| Enumeration Date | 2012-05-08 |
| Last Update Date | 2012-05-08 |