| NPI | 1346345824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY C BOSIER Licensed Ciinical Professional Coun 708-205-0084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |