| NPI | 1225612872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TREVOR ELIZABETH KENDRICK Owner/Senior Therapist 217-841-9674 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2021-05-10 |
| Last Update Date | 2021-05-10 |