| NPI | 1902269103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HILLARY LAMONTAGNE Psychotherapist 217-836-9892 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IL 180.007297) |
| Enumeration Date | 2016-04-04 |
| Last Update Date | 2016-04-04 |