| NPI | 1003781774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA LYNN BURRILL Director Of Rcm 309-373-5753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 323P00000X Psychiatric Residential Treatment Facility |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children | |
| Enumeration Date | 2025-10-10 |
| Last Update Date | 2025-10-10 |