| NPI | 1407391550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLYTHE HILARY SMITH President 708-897-1617 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180004842) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2016-12-28 |