| NPI | 1386135754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMIE DONSBACH Owner/Therapist 217-552-7774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011001) |
| Enumeration Date | 2018-05-22 |
| Last Update Date | 2018-05-22 |