| NPI | 1215104427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN KELLY WEISSER Licensed Clinical Social Worker 630-584-8284 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149010644) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |