| NPI | 1255952255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA A CRONIN Owner/Counselor 217-493-3086 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 251B00000X Case Management |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2020-04-30 |
| Last Update Date | 2020-04-30 |