| NPI | 1104889633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CHRISTINE KELLY Assistant Director Of Bh 217-347-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IL 004019-10) |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2024-08-16 |