NPI | 1467166223 |
---|---|
Entity Type | Organization |
Authorized Contact | SHEILA GARRETT Owner, Clinician 217-200-9813 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-01-06 |
Last Update Date | 2023-01-06 |