| NPI | 1962014472 |
|---|---|
| Doing Business As | PREFERRED BEHAVIORAL HEALTH |
| Former Legal Business Name | ITIC SUPPORT SERVICES, INC. |
| Entity Type | Organization |
| Authorized Contact | RYAN W MORRIS President 217-242-7718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |