| NPI | 1861769184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERI MILLER Partner 618-622-2579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.007978) |
| Enumeration Date | 2011-12-01 |
| Last Update Date | 2011-12-01 |