| NPI | 1851160204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE SARAH KEEMLE Licensed Clinical Professional Coun 309-581-1585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-12-27 |
| Last Update Date | 2024-05-06 |