| NPI | 1821114794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEXANDRIA PRISCO Executive Director 815-730-8900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2008-06-24 |