NPI | 1427803915 |
---|---|
Entity Type | Organization |
Authorized Contact | EVETTE AKUA ADDAI Pediatric Psychologist 217-520-6337 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
Enumeration Date | 2024-04-18 |
Last Update Date | 2024-04-18 |