| NPI | 1093087728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KLEPPIN Executive Director 217-721-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180005001) |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |