| NPI | 1003080144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBECCA RUTH DWYER-ELIAS Owner 309-788-1050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149-005077) |
| Enumeration Date | 2008-04-18 |
| Last Update Date | 2008-04-18 |