| NPI | 1972962272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA J BERGE Owner/Counselor 847-713-3993 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.009982) |
| Enumeration Date | 2016-02-15 |
| Last Update Date | 2016-06-13 |