| NPI | 1902333651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DETRALL ARNELL DEARBONE-COLLINS CEO 708-606-9895 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180004943) |
| Enumeration Date | 2017-05-12 |
| Last Update Date | 2017-05-12 |