| NPI | 1326834946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN GRIMES Owner 815-383-7461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-04-18 |
| Last Update Date | 2025-08-20 |