| NPI | 1578868808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL T. BURNS President 815-455-0044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 071004478) |
| Enumeration Date | 2011-01-18 |
| Last Update Date | 2011-01-18 |