NPI | 1932408929 |
---|---|
Doing Business As | BEHAVIORAL HEALTH CENTER OF ILLINOIS |
Entity Type | Organization |
Authorized Contact | SARA BAHN Clinical Psychologist 217-679-5379 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: CO 3462) |
103TC1900X Psychologist, Counseling (Licence: CO 3462) | |
Enumeration Date | 2011-03-16 |
Last Update Date | 2021-03-18 |