| NPI | 1033730122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY MARIE SCOTT Co Owner/Therapist 309-230-2707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 1041C0700X Social Worker Clinical | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |