NPI | 1033311402 |
---|---|
Entity Type | Organization |
Authorized Contact | STACY L PERKINS President 815-325-1857 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180002718) |
Enumeration Date | 2007-06-05 |
Last Update Date | 2020-08-22 |