| NPI | 1861913196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA CHUMBLEY Owner/Lisw 217-370-7711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2017-06-28 |