| NPI | 1598586216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARREN MCCAULEY President 309-706-4315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103T00000X Psychologist | |
| 103TB0200X Psychologist, Cognitive & Behavioral | |
| 106H00000X Marriage & Family Therapist | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2024-10-24 |
| Last Update Date | 2024-10-24 |