| NPI | 1164793840 |
|---|---|
| Doing Business As | GUARDIAN YOUTH AND FAMILY COUNSELING |
| Entity Type | Organization |
| Authorized Contact | RYAN T PORTER President/CEO 847-613-4626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180005697) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 22184) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 22773) | |
| 101YM0800X Counselor, Mental Health (Licence: IL 180005201) | |
| Enumeration Date | 2012-01-26 |
| Last Update Date | 2012-01-26 |