| NPI | 1598927436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN ANN BROWN Principle Officer 815-877-9999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 071033575) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-10 |