NPI | 1487947172 |
---|---|
Entity Type | Organization |
Authorized Contact | JULIE ALDERMAN Center Director 217-525-8332 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180006213) |
Enumeration Date | 2011-05-27 |
Last Update Date | 2011-05-27 |