| NPI | 1841958899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIE J SIVILL Licensed Professional Counselor 309-255-6290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-12-06 |
| Last Update Date | 2021-12-06 |