| NPI | 1710436878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA A GOOD VP/Cfp 815-284-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-09-29 |
| Last Update Date | 2021-07-01 |