NPI | 1407629066 |
---|---|
Entity Type | Organization |
Authorized Contact | REED ALLEN Lcpc 815-545-3778 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-11-03 |
Last Update Date | 2023-11-03 |