| NPI | 1104071125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN BOWLING Director 217-588-2626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2023-10-31 |