| NPI | 1477782472 |
|---|---|
| Other Name | ROBERT TUTT |
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES TUTT Owner 815-978-4749 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.006576) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 21746) |
| Enumeration Date | 2009-07-11 |
| Last Update Date | 2009-07-11 |