| NPI | 1407149693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BURT Principle 773-570-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007553) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |