| NPI | 1295369627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA STRATTON Counselor 217-972-4014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2021-07-19 |