NPI | 1790141372 |
---|---|
Entity Type | Organization |
Authorized Contact | RAUL CASTRO Co Owner 708-772-1117 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006165) |
Enumeration Date | 2016-01-12 |
Last Update Date | 2016-01-12 |