| NPI | 1427793876 |
|---|---|
| Other Name | TRAILHEADS |
| Doing Business As | TRAILHEADS |
| Entity Type | Organization |
| Authorized Contact | THERESA DONLEY Pmhnp Bc 815-674-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-04-30 |
| Last Update Date | 2022-04-30 |