| NPI | 1548607138 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOYCE GONZALEZ President 815-676-6811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.012737) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 180.008513) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |