| NPI | 1649526773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE GABRIEL CEO 309-344-2224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Enumeration Date | 2012-07-26 |
| Last Update Date | 2023-03-16 |