NPI | 1619644044 |
---|---|
Entity Type | Organization |
Authorized Contact | GWENDOLYN D HARRIS Owner/Therapist 309-706-9336 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center Adolescent and Children Mental Health |
Additional Taxonomies | 251B00000X Case Management |
251S00000X Community/Behavioral Health | |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2021-08-24 |
Last Update Date | 2021-08-24 |