| NPI | 1750547808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA R WHITLER Clinical Therapist 217-352-0099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: IL 180.004632) |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2008-07-29 |