| NPI | 1346648391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON L. HEATH Owner/Manager 331-229-9202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007869) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2014-12-08 |