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 |