| NPI | 1245281583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD E. DIMOND President 217-546-3118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IL 060-007703) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2008-04-20 |