| NPI | 1922423508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY ROHAN BOBEL Director 312-927-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180008083) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180008956) |
| Enumeration Date | 2014-02-19 |
| Last Update Date | 2014-02-19 |