NPI | 1437127131 |
---|---|
Entity Type | Organization |
Authorized Contact | CANDICE O'BRIEN Director Of Finance 815-963-0683 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 04130) |
Enumeration Date | 2006-03-09 |
Last Update Date | 2024-06-25 |