| NPI | 1366944597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE LYNN MOSLEY Therapist 815-973-0999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MN cc01259) |
| Enumeration Date | 2018-03-04 |
| Last Update Date | 2020-05-13 |