| NPI | 1619651171 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHARINE MARTIN Owner 217-717-4399 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-12-04 |