| NPI | 1437686870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLINT WILLIAM PAUL CEO 217-585-5134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 103TC0700X Psychologist Clinical | |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| 235Z00000X Speech-Language Pathologist | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2017-05-16 |
| Last Update Date | 2017-05-16 |