| NPI | 1174865836 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY KWIAT-HESS Lcsw 815-398-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149-001649) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2013-03-20 |