| NPI | 1922555325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD WALKER Therapist 217-228-6194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 178.005375) |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |