| NPI | 1962941831 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RACHEL SAFRANSKI Counselor 815-878-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149016120) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |