| NPI | 1790923654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL EDWARD WARNER CEO/Executive Director 217-422-7864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |