| NPI | 1467585075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A FETZNER Executive Director 815-337-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180 000371) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2020-08-22 |