| NPI | 1245629088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAUL CASTRO Clinical Director 708-443-4477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180006165) |
| Enumeration Date | 2015-01-16 |
| Last Update Date | 2015-01-16 |