| NPI | 1255867602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOUELLA B. DEVRIES President, Lcpc, Ma 708-633-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.012644) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |