| NPI | 1275716136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA C. MEDANIC President 630-393-4019 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180002698) |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2007-12-13 |