| NPI | 1366956724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN WILLARD Former Executive Director, Founder 309-451-9495 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: IL 198405) |
| Enumeration Date | 2017-11-21 |
| Last Update Date | 2017-12-26 |