NPI | 1891491502 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH BENITONE Owner 217-971-0088 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2023-02-03 |
Last Update Date | 2023-02-03 |