| NPI | 1932400199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILLIE HERNANDEZ Director 847-593-6201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL A-3825-0001-A) |
| Enumeration Date | 2010-11-04 |
| Last Update Date | 2010-11-04 |