| NPI | 1093198491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBBIN L KLEIN Owner 815-266-1166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 149014030) |
| Enumeration Date | 2015-07-02 |
| Last Update Date | 2015-07-02 |