| NPI | 1265863641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADISON BERESFORD President/Lead Pastoral Counselor 224-286-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 251S00000X |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-12-10 |
| Last Update Date | 2016-02-08 |