| NPI | 1730607730 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE PAMELA KAZMIER/HART Counselor/Member 224-877-1730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180010133) |
| Enumeration Date | 2017-08-30 |
| Last Update Date | 2022-07-21 |