| NPI | 1902395064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REGINA B MCCLURE President/Executive Director 872-228-5434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006064) |
| Additional Taxonomies | 103TM1800X Psychologist, Intellectual & Developmental Disabilities |
| 101YP1600X Counselor, Pastoral | |
| Enumeration Date | 2018-05-04 |
| Last Update Date | 2021-07-01 |