| NPI | 1003359340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY E MULSO President 847-338-6101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180002744) |
| Enumeration Date | 2016-11-18 |
| Last Update Date | 2016-11-18 |