| NPI | 1750430278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH ANN GUST Co Owner Clinician 847-662-2174 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180003377) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2020-08-22 |