| NPI | 1861924474 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELLA R HUGHES Manager 815-878-3715 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009986) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2017-04-02 |