NPI | 1205980158 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY ELIZABETH DYER President 708-717-4402 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180002407) |
Enumeration Date | 2007-01-22 |
Last Update Date | 2020-08-22 |