| NPI | 1871164442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHRISTINE ALEXANDER Medical Director 309-670-0459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-08-13 |