| NPI | 1467752790 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER CHANEY Employment Specialist 217-693-4613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 101YM0800X) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2010-11-03 |