| NPI | 1114000536 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LOCKE GRANT President 309-692-5550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: IL 036066475) |
| Enumeration Date | 2006-10-21 |
| Last Update Date | 2020-08-22 |