| NPI | 1407330871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY TIFFENBACK Manager Support Services 309-714-0246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2018-09-20 |
| Last Update Date | 2018-09-21 |