| NPI | 1083058135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA A BUXTON Director 847-951-2092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178008844) |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2013-04-19 |