| NPI | 1134300403 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIMMY LOUIS PHILLIPS Founder 309-681-9432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180000228) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2013-09-03 |