NPI | 1518185925 |
---|---|
Entity Type | Organization |
Authorized Contact | BILL NELSON CEO 309-344-4337 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X |
Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
251B00000X Case Management | |
251C00000X (Licence: IL 011) | |
251C00000X | |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2007-04-23 |
Last Update Date | 2022-07-21 |