| NPI | 1972976652 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QUEENA LOUISE HOWARD Clinician/Owner 309-363-1400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IL 180007518) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |