| NPI | 1114275435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN J CROWE Chief Executive Officer 217-423-6961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IL 060479-11) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-08-16 |