| NPI | 1205474475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS A. KLACKO President 630-686-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2019-12-18 |