| NPI | 1033527247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE D O'BRIEN Director Of Finance 815-742-0527 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 04130) |
| Enumeration Date | 2014-07-31 |
| Last Update Date | 2024-04-15 |