| NPI | 1508105313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL EATON CEO / President 815-387-5600 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2013-02-14 |