| NPI | 1164401725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES AM SALES President 309-786-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 036097267) |
| Enumeration Date | 2006-01-12 |
| Last Update Date | 2015-01-07 |