| NPI | 1881070290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH JEAN SIMONIS-GAYED Child And Family Psychotherapist 309-750-2828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |