| NPI | 1891856795 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRADFORD EMIL COLEN Partner 309-637-4266 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2006-12-13 |
| Last Update Date | 2020-08-22 |