| NPI | 1861542334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNA R CROSS President 708-229-0700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL A-1545-0001-A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL A-1545-0001-A) |
| 101YP2500X Counselor, Professional (Licence: IL A-1545-0001-A) | |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2016-06-02 |