| NPI | 1770876963 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP OSBORNE Co Owner 847-424-9433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180004808) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2011-05-20 |