| NPI | 1588313225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HANNAH SPENCER Owner 309-704-4664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2022-03-21 |
| Last Update Date | 2022-07-06 |