NPI | 1548063480 |
---|---|
Entity Type | Organization |
Authorized Contact | TRISHA FILLIMAN Owner/Pmhnp 309-245-7115 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-03-28 |
Last Update Date | 2025-04-29 |