| NPI | 1164661971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK G O'DONNELL Owner 217-492-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |