NPI | 1851802896 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIN REDFERN President 815-295-5470 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.010289) |
Enumeration Date | 2017-10-17 |
Last Update Date | 2024-04-22 |