| NPI | 1477115475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA L SYKES President 815-685-8864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2019-07-01 |
| Last Update Date | 2022-10-16 |