| NPI | 1225859663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKU LARGENT Psychiatric Ap RN, Owner 309-825-6648 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2024-10-18 |
| Last Update Date | 2024-10-18 |