| NPI | 1407126352 |
|---|---|
| Doing Business As | LINCOLN PRAIRIE BEHAVIORAL HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | CHRSTINE STATZ CFO 217-585-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149012639) |
| Enumeration Date | 2012-01-10 |
| Last Update Date | 2012-01-10 |