| NPI | 1700037512 |
|---|---|
| Other Name | KID CARE SERVICES |
| Entity Type | Organization |
| Authorized Contact | KIMBERLY KRUPPENBACHER Credentialing Coordinator 815-756-4875 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL A0254001A) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2008-10-10 |