| NPI | 1700010204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M KELLING Owner 630-325-8252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2009-05-12 |
| Last Update Date | 2009-05-12 |