| NPI | 1073803797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY TIFFENBACK Director Support Services 309-779-3049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-04-14 |
| Last Update Date | 2021-11-19 |