| NPI | 1942670120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANNE CAREY Owner 815-520-2303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IL 180.007230) |
| Enumeration Date | 2015-10-01 |
| Last Update Date | 2015-10-01 |