NPI | 1598653115 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSICA ELLEFRITZ Counseling Director 217-773-2728 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-06-24 |
Last Update Date | 2025-06-24 |