NPI | 1841866423 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTIN BAILEY Owner / Therapist 815-954-1548 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2021-06-03 |
Last Update Date | 2021-06-29 |