| NPI | 1205489036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN MARIE GARLAND Clinical Therapist 815-823-2876 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-07-21 |
| Last Update Date | 2019-07-21 |