| NPI | 1780628123 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E. LANGLEY CEO 815-963-0683 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 0413) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2024-06-25 |