NPI | 1013310945 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA EASTON Practice Owner And Manager 312-622-8617 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008978) |
Enumeration Date | 2014-10-07 |
Last Update Date | 2014-10-07 |