NPI | 1013245448 |
---|---|
Entity Type | Organization |
Authorized Contact | GERD B PREWETT VP & CFO 309-671-8005 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 320013) |
Enumeration Date | 2009-11-23 |
Last Update Date | 2009-11-23 |