NPI | 1417111972 |
---|---|
Entity Type | Organization |
Authorized Contact | DANEEN E. TAYLOR Director 815-546-5202 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.006655) |
Enumeration Date | 2008-07-14 |
Last Update Date | 2008-07-14 |