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 |