| NPI | 1982128971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TILISHA HARRISON Therapist 708-323-5577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 149.017815) |
| Enumeration Date | 2017-08-01 |
| Last Update Date | 2017-08-01 |