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