| NPI | 1700664166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE HASTINGS Owner 815-713-8949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2023-09-18 |