| NPI | 1982148334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE JUOZAITIS Manager 815-325-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006912) |
| Enumeration Date | 2016-12-05 |
| Last Update Date | 2021-07-28 |