| NPI | 1225729783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SCHERER Billing/Credentialing 217-854-3166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-05-16 |
| Last Update Date | 2024-10-24 |