| NPI | 1700973377 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE B ERICKSON Office Manager 708-597-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180000887) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |