| NPI | 1083557060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY NEAL GOMER Chief Financial Officer 309-344-2600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2026-04-13 |
| Last Update Date | 2026-04-13 |