| NPI | 1972934271 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KALLMANN President 224-688-2277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 180007275) |
| Enumeration Date | 2013-12-11 |
| Last Update Date | 2013-12-11 |