| NPI | 1972272516 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS DUKE President 309-779-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2024-08-08 |