| NPI | 1275296899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWEN GINSKI President 815-999-5684 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2021-10-20 |
| Last Update Date | 2022-09-02 |