| NPI | 1316547334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE PURRI Clinical Mental Health Counselor 815-676-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2020-10-28 |
| Last Update Date | 2020-10-28 |