| NPI | 1184999054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHOLNY RIORDAN Chief Operating Officer 309-323-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: IL 512961) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2012-03-12 |
| Last Update Date | 2021-10-13 |