| NPI | 1700264389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC CONNOR Director 224-801-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009658) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-05-14 |