| NPI | 1306220371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA A. LANCASTER Partner 217-565-0014 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: None) |
| Enumeration Date | 2015-07-19 |
| Last Update Date | 2015-07-19 |