| NPI | 1417906322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE S STRASSHEIM Chief Executive Officer 309-452-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IL 020328) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: IL 020329) |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2020-08-22 |