| NPI | 1124313465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL EATON CEO/President 815-968-9300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |