NPI | 1538456819 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA RHODES Executive Director 217-442-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
251S00000X Community/Behavioral Health | |
Enumeration Date | 2011-07-07 |
Last Update Date | 2021-07-20 |