| NPI | 1811445679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAIRE LOIUSE BROWN Therapist 815-477-4024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149.002685) |
| Enumeration Date | 2016-09-21 |
| Last Update Date | 2016-09-21 |