| NPI | 1194306605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE MANN Owner 309-304-3041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| Enumeration Date | 2021-04-16 |
| Last Update Date | 2021-04-16 |