| NPI | 1326508763 |
|---|---|
| Other Name | NONE |
| Entity Type | Organization |
| Authorized Contact | MAXWELL N BESHERS Owner 217-390-4754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-03-21 |
| Last Update Date | 2019-03-21 |