| NPI | 1649608191 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB D COLLINS Owner 312-399-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.008547) |
| Enumeration Date | 2013-10-21 |
| Last Update Date | 2019-02-18 |