| NPI | 1487857793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANNA MICHELE VIVIANI President 309-282-1762 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 180004628) |
| Enumeration Date | 2007-06-06 |
| Last Update Date | 2020-08-22 |