| NPI | 1174294615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANE SNYDER President 708-712-5254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2022-11-28 |