| NPI | 1134438294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLIE SALAWAGE Director Of Quality Improvement 309-687-7225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-10-06 |
| Last Update Date | 2010-10-06 |