| NPI | 1053746388 |
|---|---|
| Other Name | HARVARD |
| Entity Type | Organization |
| Authorized Contact | BENJAMIN STORTZ CEO 815-741-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2021-06-22 |