| NPI | 1811349442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA R CROSS President 708-229-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL A-1545-0001-A) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |