NPI | 1740705946 |
---|---|
Entity Type | Organization |
Authorized Contact | DARCI NEWTON Owner/Licensed Therapist 309-740-1157 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149.019425) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 149.019425) |
Enumeration Date | 2017-08-08 |
Last Update Date | 2023-12-19 |