| NPI | 1659382521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY JO BARRETT Owner 847-676-4447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 106H00000X Marriage & Family Therapist | |
| 104100000X Social Worker | |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2015-08-13 |