| NPI | 1669964920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIPHER VORHEES CEO 618-789-6029 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007581) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 102L00000X Psychoanalyst (Licence: IL 180007581) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2018-06-03 |
| Last Update Date | 2018-06-03 |