| NPI | 1760508907 |
|---|---|
| Other Name | TMHC EP MH |
| Entity Type | Organization |
| Authorized Contact | DAVE WALTER MINGUS CEO 309-347-5579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2018-07-12 |