| NPI | 1891815916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY MICHAEL JENKINS President 708-275-0934 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IL 180-00003704) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180-003704) |
| 101YM0800X Counselor, Mental Health (Licence: IL 180-003704) | |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |