NPI | 1518336908 |
---|---|
Entity Type | Organization |
Authorized Contact | MARGOT SMITH Clinical Director 630-717-9408 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009446) |
Enumeration Date | 2015-09-16 |
Last Update Date | 2015-09-16 |