| NPI | 1831663798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANCIS SCHUSTER CFO 815-387-5642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2019-01-14 |
| Last Update Date | 2019-01-14 |