| NPI | 1558330894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM PHILLIPS Executive Director 309-697-4555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 02285710) |
| Additional Taxonomies | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IL 02285710) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2020-08-22 |