NPI | 1477184406 |
---|---|
Other Name | STALEY COUNSELING CENTER |
Entity Type | Organization |
Authorized Contact | MICHAEL WARNER CEO 217-423-6961 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-01-29 |
Last Update Date | 2021-05-17 |