| NPI | 1659596260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL NELSON President 309-344-4254 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 006) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2022-07-21 |