| NPI | 1285347419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT VACEK CEO 217-218-3456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2023-01-03 |
| Last Update Date | 2023-02-23 |