| NPI | 1952199374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEANNE MARIE WOLTER Clinical Mental Health Counselor 815-909-6586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-04-26 |
| Last Update Date | 2025-09-10 |