| NPI | 1386798627 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDY D. MALAN Bureau Chief 217-785-8983 |
| Organization Subpart ? | No |
| Primary Taxonomy | 283Q00000X Psychiatric Hospital (Licence: IL 054014602) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |