| NPI | 1194795344 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEL FRENCH Executive Director 309-663-1623 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 71-3664) |
| Enumeration Date | 2006-01-23 |
| Last Update Date | 2008-03-12 |