| NPI | 1881920361 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUNICE MARIE BUCKNERBOONE Licensed Professional Counselor 217-355-0825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180006788) |
| Enumeration Date | 2009-10-19 |
| Last Update Date | 2010-07-23 |