| NPI | 1427209105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINE PATRICIA KESTER Owner 224-789-9065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180005854) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 26884) |
| Enumeration Date | 2008-10-01 |
| Last Update Date | 2012-03-15 |