NPI | 1134463052 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY RIORDAN Chief Operating Officer 309-323-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 253J00000X Foster Care Agency |
Additional Taxonomies | 251V00000X Voluntary or Charitable (Licence: IL 512961) |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2012-11-15 |
Last Update Date | 2021-10-13 |