NPI | 1811400187 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHERINE ANN NESS Owner 224-655-2655 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007845) |
Enumeration Date | 2017-11-09 |
Last Update Date | 2023-11-08 |