| NPI | 1457842460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE (KATHLEEN) M KROENING Counselor/Ownder 815-707-4806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.016805) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 149.016805) |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2022-12-13 |