| NPI | 1114332004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN L VACHULCIK Licensed Clinical Prof Counselor 708-927-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008797) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 30730) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2014-06-30 |