| NPI | 1346345824 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY C BOSIER Licensed C Iinical Professional Coun 708-205-0084 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180003367) |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2020-08-22 |