| NPI | 1194967356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INDIGO BUTT Billing Department 217-872-1003 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178006034) |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |