NPI | 1932178183 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA CHRISTOPHER Executive Assistant 309-797-7700 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health |
Additional Taxonomies | 101Y00000X Counselor |
101YM0800X Counselor Mental Health | |
101YS0200X Counselor School | |
104100000X Social Worker | |
1041C0700X Social Worker Clinical | |
1041S0200X Social Worker School | |
122300000X Dentist | |
1223D0001X Dentist Dental Public Health | |
1223G0001X Dentist General Practice | |
1223P0221X Dentist Pediatric Dentistry | |
124Q00000X Dental Hygienist | |
126800000X Dental Assistant | |
126900000X Dental Laboratory Technician | |
261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2006-03-17 |
Last Update Date | 2024-01-09 |