| NPI | 1588622609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA LOWRY Administrator 217-324-3842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310500000X Intermediate Care Facility, Mental Illness (Licence: IL 1719830) |
| Enumeration Date | 2006-05-01 |
| Last Update Date | 2020-08-22 |