| NPI | 1447754262 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS MCDONALD Owner/Operator 708-663-2249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.010333) |
| Enumeration Date | 2018-03-19 |
| Last Update Date | 2018-03-19 |