NPI | 1770874984 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL KENNEDY President/CEO 309-671-8005 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 251S00000X (Licence: IL A-0324-0010-A) |
Enumeration Date | 2011-04-21 |
Last Update Date | 2017-12-12 |