| NPI | 1588948046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM NELSON CEO 309-344-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IL 04016) |
| 101YM0800X Counselor, Mental Health (Licence: IL 04016) | |
| 101YP2500X Counselor, Professional (Licence: IL 04016) | |
| 104100000X Social Worker (Licence: IL 04016) | |
| 251S00000X (Licence: IL 04016) | |
| Enumeration Date | 2011-10-03 |
| Last Update Date | 2019-08-19 |