| NPI | 1194784819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK SCHMITZ Exec Director 217-223-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251B00000X Case Management (Licence: IL 04134) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2018-04-12 |