NPI | 1669749560 |
---|---|
Entity Type | Organization |
Authorized Contact | TAYLOR NEWENDORP President 773-573-6569 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007907) |
Enumeration Date | 2011-11-19 |
Last Update Date | 2015-10-09 |