| NPI | 1952452971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HAROLD MCGRATH Owner 708-226-1360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180-000693) |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2013-10-08 |