| NPI | 1578876074 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN CAMPEN Executive Director Of Finance 309-671-8025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2024-06-10 |