NPI | 1356402051 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN AUGUSTYN Co Director 618-251-4225 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180005103) |
Enumeration Date | 2006-12-13 |
Last Update Date | 2020-08-22 |