NPI | 1396914925 |
---|---|
Other Name | TRINITY SERVICES MH & FOFAS SERVICES |
Entity Type | Organization |
Authorized Contact | BOB TAYLOR CFO 815-320-7190 |
Organization Subpart ? | Yes |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2008-02-28 |
Last Update Date | 2020-05-20 |