| NPI | 1023877420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE LORRAINE BANKS-WILSON Chief Financial Officer 217-503-6269 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-03-18 |
| Last Update Date | 2024-03-18 |