| NPI | 1346677598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDITH MARIE POHLAND Mental Health Therapist 309-687-7760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 180.004666) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2013-10-02 |