NPI | 1376721365 |
---|---|
Entity Type | Organization |
Authorized Contact | CARRIE ANN CHEREP Owner/President/Clinical Director 708-499-8033 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180-004040) |
Enumeration Date | 2008-02-01 |
Last Update Date | 2008-02-01 |