| NPI | 1043881345 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM FEAR Assoc. Exec Dir Of Hr And Finance 815-432-5241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2021-07-07 |