| NPI | 1417473018 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA L YEATES President 815-404-3365 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180003737) |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2025-03-07 |