| NPI | 1003358037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSAY KEISMAN Owner/Therapist 815-345-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2016-11-08 |
| Last Update Date | 2024-02-23 |