| NPI | 1003046012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK PHELAN Vice President Of Operations 309-687-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2009-07-24 |
| Last Update Date | 2009-07-24 |