| NPI | 1285880674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK M. PHELAN Vice President Of Operations 309-687-7255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-18 |