| NPI | 1750722013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAY L PATTON Family Therapist 309-269-7982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IL 166.000853) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 178.005684) |
| Enumeration Date | 2013-07-15 |
| Last Update Date | 2013-07-15 |