| NPI | 1740774298 |
|---|---|
| Other Name | GIRLS GROUP HOME (BUILDING/PROGRAM) |
| Entity Type | Organization |
| Authorized Contact | SHAWN SUZETTE PETERSON Director Of Quality Improvement 217-367-3728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-06-19 |
| Last Update Date | 2018-06-19 |