NPI | 1518909266 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN E. LANGLEY CEO 815-963-0683 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 0413) |
Enumeration Date | 2006-06-10 |
Last Update Date | 2024-04-16 |