| NPI | 1164847430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHERYL MUNKVOLD Human Resources 815-756-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL MSW) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |