| NPI | 1740712504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY BOLINGER RAABE President/Therapist 217-679-0356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180001720) |
| Enumeration Date | 2017-03-31 |
| Last Update Date | 2017-03-31 |