| NPI | 1912158494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS DUKE President 309-779-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IL 5M00000032) |
| Enumeration Date | 2008-10-02 |
| Last Update Date | 2021-11-17 |