NPI | 1659544872 |
---|---|
Former Legal Business Name | DECATUR MENTAL CENTER |
Entity Type | Organization |
Authorized Contact | DIANA KNAEBE President/CEO 217-362-6262 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL T) |
Enumeration Date | 2008-04-09 |
Last Update Date | 2022-07-21 |