| NPI | 1710754122 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE ANN BARISCH Director Of Therapeutic Services 309-820-7616 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 253J00000X Foster Care Agency |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-12-06 |
| Last Update Date | 2023-12-06 |