NPI | 1184938730 |
---|---|
Entity Type | Organization |
Authorized Contact | BENTON K JOHNSON President 309-558-9050 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180006524) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IA 001063) |
101YP2500X Counselor, Professional (Licence: IL 180006524) | |
Enumeration Date | 2010-08-05 |
Last Update Date | 2013-11-30 |