| NPI | 1841830429 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL WARNER CEO 217-423-6961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| 163W00000X Registered Nurse | |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2021-05-17 |