NPI | 1720375454 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGELA DEAN Director Of Business Services 217-223-0423 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2011-07-01 |
Last Update Date | 2011-07-01 |