| NPI | 1457869679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORRE A HUNTER Licensed Clinical Social Worker 815-508-6544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2018-01-22 |
| Last Update Date | 2023-06-27 |