NPI | 1598128688 |
---|---|
Entity Type | Organization |
Authorized Contact | SANDRA E WOZNICKI President 815-206-5811 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 180005942) |
Enumeration Date | 2016-04-05 |
Last Update Date | 2016-04-05 |