| NPI | 1124250402 |
|---|---|
| Doing Business As | ASCENT COUNSELING & DUI SERVICES |
| Entity Type | Organization |
| Authorized Contact | RICHARD W. MAST Clinical Director/Owner 309-828-1988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.002048) |
| Enumeration Date | 2009-08-20 |
| Last Update Date | 2013-03-14 |