| NPI | 1235868720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY A CAMPER CEO 815-418-6577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| 261Q00000X Clinic/Center | |
| 261QR1100X Clinic/Center, Research | |
| Enumeration Date | 2022-06-09 |
| Last Update Date | 2023-11-09 |