| NPI | 1245525583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL EATON CEO/President 815-387-5600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2011-06-15 |
| Last Update Date | 2011-06-15 |