NPI | 1508296559 |
---|---|
Entity Type | Organization |
Authorized Contact | KAY A GOTTRICH President/Therapist 217-726-9882 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180.004119) |
Enumeration Date | 2013-11-12 |
Last Update Date | 2013-11-12 |