| NPI | 1811481450 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS DUKE President 309-779-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2021-11-17 |