| NPI | 1184120925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW HYDER Counselor 847-224-9890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180007237) |
| Enumeration Date | 2018-04-02 |
| Last Update Date | 2018-04-02 |