NPI | 1275875346 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHLEEN EL KOURY Owner 217-383-0151 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149014837) |
Enumeration Date | 2013-03-26 |
Last Update Date | 2024-04-16 |