| NPI | 1386009009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ALLIS Therapist 262-215-6506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009592) |
| Enumeration Date | 2015-12-22 |
| Last Update Date | 2016-11-30 |