| NPI | 1538569058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA KENNEDY President 815-320-3749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.007398) |
| Enumeration Date | 2014-09-03 |
| Last Update Date | 2024-04-19 |