| NPI | 1003678343 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R. ANDERSON Mental Health Provider Therapist 309-648-1720 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-01-23 |
| Last Update Date | 2024-01-23 |