| NPI | 1649305335 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT A CHAFFIN CEO 815-431-5456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: IL 0002071) |
| Additional Taxonomies | 282N00000X General Acute Care Hospital (Licence: IL 0002071) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2020-08-22 |