| NPI | 1144593088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE BARISCH Director Of Therapeutic Services 309-323-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2024-11-26 |