NPI | 1619151982 |
---|---|
Entity Type | Organization |
Authorized Contact | MARY E DEGRAZIA President 847-864-0837 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180-004722) |
Enumeration Date | 2007-12-21 |
Last Update Date | 2007-12-21 |