| NPI | 1568694578 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN ERIN ECCLES Owner 847-749-3807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149013183) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral (Licence: IL 178004019) |
| Enumeration Date | 2009-08-10 |
| Last Update Date | 2023-12-07 |