| NPI | 1821467218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARLYS A CONRAD Owner 847-624-7446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: IL 071003676) |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2015-09-16 |