| NPI | 1154854925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN M RYAN President 847-800-6722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.010005) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.010005) |
| 101YP2500X Counselor, Professional (Licence: IL 180.010005) | |
| 106H00000X Marriage & Family Therapist (Licence: IL 180.010005) | |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2017-04-07 |