| NPI | 1699733006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN E ROACH Executive Director 217-523-9201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 00397410) |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2020-08-22 |