| NPI | 1043464803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM RUSSO Executive Director 630-428-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149010253) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2008-11-06 |