| NPI | 1558735126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA ELIZABETH ANDREWS Owner Manager 309-826-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.004255) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2015-11-19 |