| NPI | 1487806436 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY MARGARET HARRIS Director 309-298-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180000305) |
| Enumeration Date | 2008-10-21 |
| Last Update Date | 2008-10-21 |