NPI | 1487141867 |
---|---|
Entity Type | Organization |
Authorized Contact | JIMINE JOHNSON Owner 708-582-1597 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009681) |
Enumeration Date | 2018-04-20 |
Last Update Date | 2023-11-01 |