| NPI | 1902252174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRITTANY PIERSON Owner 618-920-2238 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180008362) |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2016-05-06 |