| NPI | 1023293784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM BIGGS-REED Executive Director 765-742-4848 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 178004574) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2007-12-31 |