| NPI | 1245570068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY KATHLEEN O'HARA Owner 630-571-8784 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: 180004804) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist (Licence: IL 166000225) | |
| Enumeration Date | 2013-02-15 |
| Last Update Date | 2013-02-15 |