| NPI | 1447866900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERIC KIMLER Executive Director 309-671-2144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 251B00000X Case Management |
| 251K00000X Public Health or Welfare | |
| 251V00000X Voluntary or Charitable | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2020-09-21 |
| Last Update Date | 2020-09-21 |