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 |