| NPI | 1750215372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FLORENCE OSISANYA Owner 815-608-2662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2026-06-09 |
| Last Update Date | 2026-06-09 |