| NPI | 1861766107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERIE L LUSKY Counselor 773-969-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007744) |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2023-08-01 |