| NPI | 1154629673 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER CHRISTINE KELLY Assistant Director Of Bh 217-273-5398 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-03-08 |
| Last Update Date | 2024-06-10 |