NPI | 1447408109 |
---|---|
Entity Type | Organization |
Authorized Contact | DAN CHAD PETERSON Owner 630-420-2596 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180005898) |
Enumeration Date | 2008-09-05 |
Last Update Date | 2008-09-05 |