| NPI | 1972662997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOLLY ANN RITTENHOUSE Office Manager 217-356-9922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IL 71001608) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |