| NPI | 1831643147 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CRAIG Owner, Lcpc 309-258-6473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009303) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |