| NPI | 1609417625 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOIS GOUDEAU Licensed Clinical Professional Coun 708-743-7347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-10-01 |
| Last Update Date | 2019-10-01 |