| NPI | 1417482274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA LATONIA RODGERS Counselor/Owner/Exec. Dir. 309-573-5818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 178012997) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YS0200X Counselor, School | |
| Enumeration Date | 2017-04-28 |
| Last Update Date | 2017-04-28 |