| NPI | 1104282045 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COLETTE THERESE SCHEUERMANN L Icensed Clinical Social Worker 847-359-7917 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL SW13074) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 149003493) |
| Enumeration Date | 2016-01-07 |
| Last Update Date | 2018-06-30 |