| NPI | 1356881122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RANDAZZO Administrator 708-257-3830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180005054) |
| Enumeration Date | 2017-02-27 |
| Last Update Date | 2017-02-27 |