| NPI | 1821255290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELIA LYN STOLTZ President 815-370-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180-002919) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |