| NPI | 1588317531 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BRANDS Co Owner 815-782-0653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-01-31 |
| Last Update Date | 2022-01-31 |