| NPI | 1164815304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK HENRY SILVEIRA President 847-254-4663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.009419) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2015-03-12 |