| 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 |