| NPI | 1326211426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA MCDONOUGH Owner 630-355-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149.003762) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |