| NPI | 1245338599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARILYN MARIE DYRE Psychotherapist President 815-455-1884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149000244) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |