NPI | 1902928005 |
---|---|
Entity Type | Organization |
Authorized Contact | CHERYL L GAINES CEO President 309-828-2860 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 180.003283) |
Enumeration Date | 2007-04-06 |
Last Update Date | 2020-08-22 |