NPI | 1699040451 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY RIORDAN Chief Operating Officer 309-323-6600 |
Organization Subpart ? | No |
Primary Taxonomy | 253J00000X Foster Care Agency |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2012-03-13 |
Last Update Date | 2021-10-13 |