NPI | 1093201410 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS DUKE President 309-779-2043 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2018-07-09 |
Last Update Date | 2021-11-17 |