NPI | 1760924732 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY RIORDAN Chief Operating Officer 309-323-6607 |
Organization Subpart ? | No |
Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IL 512961) |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2016-11-08 |
Last Update Date | 2022-03-29 |