| NPI | 1235216219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERICA R. KRAHL Director 815-634-3994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 060007893) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2009-06-13 |