| NPI | 1568631133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE WALTER MINGUS CEO 309-347-5579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2018-07-12 |