| NPI | 1285879478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL A. MILLS Owner 217-431-8825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149.006935) |
| Enumeration Date | 2008-12-03 |
| Last Update Date | 2008-12-03 |