| NPI | 1407957517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN T BUTLERCOOK Owner/Operator 708-460-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180-000473) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2009-08-28 |