| NPI | 1386190197 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A ANGELO Owner/President 630-945-0440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180009518) |
| Enumeration Date | 2016-08-31 |
| Last Update Date | 2016-09-01 |