| NPI | 1598312043 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER GUIDEBECK Licensed Clinical Social Worker 217-620-5864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-08-20 |
| Last Update Date | 2022-11-29 |