NPI | 1760157838 |
---|---|
Entity Type | Organization |
Authorized Contact | SHAWN SUZETTE PETERSON Director Of Quality Improvement 217-367-3728 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251V00000X Voluntary or Charitable |
Enumeration Date | 2021-08-11 |
Last Update Date | 2021-08-11 |