| NPI | 1225361769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN BOWLING Director 217-588-2626 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2023-10-31 |