| NPI | 1861874604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENE DOSS Psr Recovery Specialist 815-573-4922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-06-28 |
| Last Update Date | 2015-06-28 |