| NPI | 1740045707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY-NICHOLE FRITTS Owner 217-316-4901 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2024-02-19 |