| NPI | 1508730821 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA MARIE JENNINGS-MITCHELL Executive Director 309-451-9495 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2025-09-30 |
| Last Update Date | 2025-09-30 |