| NPI | 1437046968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELA REBOLLAR Therapist/Owner 815-249-1294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2025-06-18 |
| Last Update Date | 2025-06-18 |