| NPI | 1679931026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATASHA HARMON Partner 618-535-5175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180009798) |
| Enumeration Date | 2016-01-31 |
| Last Update Date | 2016-01-31 |