| NPI | 1538254214 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA RHODES Executive Director 217-442-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TC0700X Psychologist, Clinical | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 163W00000X Registered Nurse | |
| 164W00000X Licensed Practical Nurse | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry | |
| 251S00000X | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2021-07-20 |