NPI | 1003085770 |
---|---|
Entity Type | Organization |
Authorized Contact | BOB TAYLOR CFO 815-320-7190 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 251S00000X Community/Behavioral Health |
Enumeration Date | 2008-02-26 |
Last Update Date | 2021-09-21 |