| NPI | 1982350252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANNA MARIE DE LEON Owner/Clinical Supervisor 815-708-9068 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-02-25 |
| Last Update Date | 2024-04-30 |