| NPI | 1548875628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE STRAND BENEDICT Sole Member 815-399-8040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2021-02-03 |