| NPI | 1184003394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN WILLARD Executive Director 309-451-9495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 198405) |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2015-05-20 |