| NPI | 1275616484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DELORES ODELL MCCOLLUM President 309-762-3931 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IL 071003806) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2020-08-22 |