| NPI | 1750614798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN BOWLING Director 217-588-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| Enumeration Date | 2009-09-09 |
| Last Update Date | 2023-10-31 |