| NPI | 1003698267 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH OLBERT Therapist 309-838-1885 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2023-10-20 |