NPI | 1023563020 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMARA PATTERSON President/Therapist 815-988-7024 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180009179) |
Enumeration Date | 2016-08-18 |
Last Update Date | 2016-08-18 |