| NPI | 1275123861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLARY J. WASSON Mental Health Therapist 309-431-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2021-01-19 |
| Last Update Date | 2021-01-19 |