| NPI | 1104583160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYA ABBED Owner/Clinical Counselor 309-287-3583 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2022-02-07 |