| NPI | 1235626326 |
|---|---|
| Other Name | LOVE'S PARK |
| Entity Type | Organization |
| Authorized Contact | WILLIAM NELSON CEO 309-344-2323 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2018-04-16 |