| NPI | 1992210322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENNA L PANARES President 815-806-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |