| NPI | 1396876140 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN R LADING-FERGUSON CEO 309-676-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 180-003685) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 180-003685) |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2018-09-12 |