| NPI | 1700052305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN ERIC STRAUBE Psychologist 815-385-5903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180001146) |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |