| NPI | 1659578326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE W COOK President 217-239-0142 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149-006970) |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |