| NPI | 1952852485 |
|---|---|
| Former Legal Business Name | FIREFIGHTER BEHAVIORAL HEALTH OF ILLINOIS, LLC |
| Entity Type | Organization |
| Authorized Contact | SARAH ANN GURA Owner 815-557-1267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007613) |
| Enumeration Date | 2016-10-19 |
| Last Update Date | 2016-10-19 |