| NPI | 1215447610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON FRANCO President 618-335-2938 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180011222) |
| Enumeration Date | 2017-10-11 |
| Last Update Date | 2019-05-13 |