| NPI | 1013684901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELANIE SIVLEY Owner 217-731-4638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2025-08-06 |