| NPI | 1124842737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARRIE LYNNE HELLE Business Owner 309-338-6240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-11-11 |
| Last Update Date | 2024-11-11 |