| NPI | 1427725522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH KING Executive Director 217-238-5700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-08-26 |
| Last Update Date | 2024-11-22 |