| NPI | 1992204002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MARIE QUIGLEY Owner 844-792-4209 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149018204) |
| Enumeration Date | 2018-02-04 |
| Last Update Date | 2018-02-04 |