| NPI | 1245524677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS KILBERG Executive Director 217-854-3166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2011-06-02 |