| NPI | 1073799441 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN S. SHIMON Executive Director 847-501-2939 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 04147) |
| Enumeration Date | 2008-01-16 |
| Last Update Date | 2008-01-16 |