| NPI | 1285836437 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CORINNA MARIE COSTELLO Director, Counselor 630-837-5303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180005808) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 96178) |
| 101YP2500X Counselor, Professional (Licence: IL 180005808) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2011-12-19 |