| NPI | 1760505044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM NELSON CEO 309-344-2323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 315P00000X Intermediate Care Facility, Mentally Retarded (Licence: IL 024) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2022-07-21 |