NPI | 1366705576 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDY ALLEEN BROWN Owner 309-648-9939 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 149012160) |
Enumeration Date | 2012-06-21 |
Last Update Date | 2018-05-21 |