NPI | 1558136697 |
---|---|
Doing Business As | AVID INSIGHT COUNSELING |
Entity Type | Organization |
Authorized Contact | CAMERON STALEY Owner/Officer 217-597-1456 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2023-11-20 |
Last Update Date | 2023-11-20 |