| NPI | 1598717597 |
|---|---|
| Former Legal Business Name | FAMILY ALLIANCE INC |
| Entity Type | Organization |
| Authorized Contact | MARY FISHER Finance Director 815-338-3590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2023-04-27 |