| NPI | 1578928859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KERRY J. DEVRIES President 224-707-0847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180000829) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |