| NPI | 1265016992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON R HASTING Owner 815-990-3276 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251J00000X Nursing Care |
| Additional Taxonomies | 101Y00000X Counselor |
| 363LF0000X Nurse Practitioner Family | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2022-05-12 |