| NPI | 1033157748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN PATTON Director Of Finance 217-592-0317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 004049-10) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 308658-03) |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-06-22 |