| NPI | 1780993980 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY WEINSTEIN Chief Executive Officer 309-283-1206 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2010-10-05 |
| Last Update Date | 2020-01-17 |