| NPI | 1780810648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON MILLER Director Of Compliance 309-687-7001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| 251V00000X Voluntary or Charitable | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2009-06-05 |
| Last Update Date | 2025-11-07 |