| NPI | 1245550383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MUELLER Director 847-570-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180002742) |
| Enumeration Date | 2010-06-10 |
| Last Update Date | 2010-06-10 |