NPI | 1710276399 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS DUKE President 309-779-2043 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 273R00000X Psychiatric Unit |
Enumeration Date | 2011-04-04 |
Last Update Date | 2021-11-17 |