| NPI | 1104346782 |
|---|---|
| Other Name | ILLINOIS VALLEY CENTER |
| Entity Type | Organization |
| Authorized Contact | KARLA MCCAFFERTY Executive Director 541-476-2373 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2021-12-16 |