| NPI | 1649435769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE SNYDER President 630-386-0097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.005259) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.006347) |
| 1041C0700X Social Worker, Clinical (Licence: IL 149.010562) | |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |