NPI | 1932577376 |
---|---|
Doing Business As | MELISSA S KOSTIAL-JANOS LCSW ACSW |
Entity Type | Organization |
Authorized Contact | MELISSA SUSAN KOSTIAL-JANOS President/ Owner 224-603-1199 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 149001506) |
Enumeration Date | 2015-09-02 |
Last Update Date | 2015-09-02 |