| NPI | 1184802167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA CARLSON President 630-771-0144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.001650) |
| Enumeration Date | 2008-02-01 |
| Last Update Date | 2008-02-01 |