| NPI | 1003590530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE ROEMER Owner 217-741-3533 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-14 |