NPI | 1861790883 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA KOEHNE Office Manager 708-633-9003 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178.005263) |
Enumeration Date | 2011-03-01 |
Last Update Date | 2011-03-01 |