| NPI | 1518763994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY E DEAN Owner 217-394-5382 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-02-24 |
| Last Update Date | 2026-06-06 |