| 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 |