| NPI | 1306625439 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTEN PATTON Director Of Finance 217-592-0317 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2024-07-17 |