| NPI | 1235018987 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATHALIE ROSINE KORI NKENLIFACK MANHENKEU Manager 217-819-7328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2025-08-28 |