| NPI | 1164605424 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE CHAPUT President 847-945-2369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006669) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180006669) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180006669) | |
| Enumeration Date | 2007-12-10 |
| Last Update Date | 2008-07-03 |