NPI | 1548092083 |
---|---|
Entity Type | Organization |
Authorized Contact | SARAH DAILY Director Of Clinical Services 217-264-1029 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-08-14 |
Last Update Date | 2024-08-14 |