| NPI | 1598389918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER DURKAC Chief Innovation Officer 309-665-0572 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YS0200X Counselor School | |
| 103TC1900X Psychologist Counseling | |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2025-09-23 |