| NPI | 1013364454 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL EATON CEO / President 815-391-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2018-09-05 |