| NPI | 1619124302 |
|---|---|
| Other Name | WALNUT OFFICE LOCATION |
| Entity Type | Organization |
| Authorized Contact | SHEILA FERGUSON Chief Exec Officer 217-398-8080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-08-25 |
| Last Update Date | 2013-09-24 |