NPI | 1437225034 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN ROACH Executive Director 217-523-9201 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 003973-12) |
Enumeration Date | 2006-11-27 |
Last Update Date | 2021-06-23 |