| NPI | 1124490826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LATRICE ANNETTE ALAGBALA Owner 872-205-6550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.010329) |
| Enumeration Date | 2015-10-21 |
| Last Update Date | 2015-10-21 |