| NPI | 1801363551 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RON LITTLE Executive Director 217-226-2116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children |
| Enumeration Date | 2018-10-31 |
| Last Update Date | 2018-10-31 |