| NPI | 1225434723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN LOHMEYER Manager/Therapist 217-621-3518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149015463) |
| Enumeration Date | 2014-11-10 |
| Last Update Date | 2014-11-10 |