| NPI | 1750327003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL D FLORA President CEO 815-756-4875 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL A0254001A) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2008-04-20 |