| NPI | 1871014704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAWN MARIE MISKUS Owner 630-487-0809 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.010479) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 180.010479) |
| 101YP2500X Counselor, Professional (Licence: IL 180.010479) | |
| Enumeration Date | 2017-06-30 |
| Last Update Date | 2017-06-30 |