| NPI | 1588453724 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HENRY CEO 217-403-5401 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2025-05-05 |
| Last Update Date | 2025-05-05 |