NPI | 1164600979 |
---|---|
Other Name | COURTYARD SQUARE |
Entity Type | Organization |
Authorized Contact | ANGIE WILLIAMS Access Center Coordinator 217-238-5735 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Enumeration Date | 2008-02-04 |
Last Update Date | 2008-04-20 |