| 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 | 251S00000X Community/Behavioral Health |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2011-07-07 |
| Last Update Date | 2021-07-20 |