| NPI | 1992198972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CURTIS KEARNEY Director 847-975-3416 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180.006608) |
| Enumeration Date | 2015-03-14 |
| Last Update Date | 2015-03-14 |