| NPI | 1821441494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ROBERT PETROELJE Clinical Professional Counselor 312-502-9014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008805) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |