| NPI | 1255399275 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRIS ROBB Administrator 217-789-1680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: IL 1717572) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-08-22 |