| NPI | 1578222774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLYSON HAWKINS Psychologist 309-532-0481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 261QM0850X Clinic/Center Adult Mental Health |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2021-12-15 |