| NPI | 1467633966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY ANN WILLIAMSON Director 309-662-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 1073716) |
| Enumeration Date | 2007-11-27 |
| Last Update Date | 2016-08-11 |