| NPI | 1891505061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHEANNA HENDRICKS Owner 815-570-9728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-01-09 |
| Last Update Date | 2025-02-04 |