| NPI | 1093063208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN PATTON Director Of Finance 217-592-0317 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: IL 004048-12) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-08-17 |
| Last Update Date | 2023-09-25 |