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Organization
NO MORE BOUND
Active
Organization
NO MORE BOUND
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AIRIEL SADLER LCSW (EXECUTIVE DIRECTOR)
(217) 979-8982
Entity
Organization
Contact information
Practice address
1011 S MATTIS AVE APT 5-4, CHAMPAIGN, IL 61821-4856
(217) 979-8982
Mailing address
1011 S MATTIS AVE APT 5-4, CHAMPAIGN, IL 61821-4856
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
07/29/2025
Last updated
07/29/2025
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