| NPI | 1740479955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY FEES Off. Mgr. 847-381-7618 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 036062569) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2009-02-05 |