| NPI | 1104798180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOMMY THOMPSON Owner 217-491-2708 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 1041C0700X Social Worker Clinical |
| Enumeration Date | 2025-09-19 |
| Last Update Date | 2025-09-19 |