| NPI | 1134416381 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RHODES Executive Director 217-442-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YM0800X Counselor, Mental Health | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2021-07-20 |