| NPI | 1184013930 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY CAMILLE-MCKINESS CEO 331-213-9706 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007038) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2023-02-08 |