NPI | 1295994150 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA B DAMPIER Owner/Psychotherapist 815-444-0044 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149008717) |
Enumeration Date | 2008-06-05 |
Last Update Date | 2008-06-05 |