| NPI | 1578266342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUNE PETERSON -MIDDLEBROOKS Accounts Receivable 309-827-5351 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |