| NPI | 1083671127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE WALTER MINGUS CEO 309-347-5579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X (Licence: IL 04132) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 163W00000X Registered Nurse | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2017-01-16 |