| NPI | 1093864472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE HOPE DUEWEL Memeber Single Member LLC 309-582-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: WV 1128) |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-08-22 |