NPI | 1609240456 |
---|---|
Entity Type | Organization |
Authorized Contact | SHELLEY SKAS Licensed Clinical Professional Coun 708-586-9303 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180007474) |
Enumeration Date | 2015-11-17 |
Last Update Date | 2015-11-17 |