NPI | 1124535125 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH ALLEN President 847-791-7722 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-003416) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180-003416) |
Enumeration Date | 2017-12-29 |
Last Update Date | 2017-12-29 |