NPI | 1801425277 |
---|---|
Entity Type | Organization |
Authorized Contact | TERESA A GOOD VP/CFO 815-284-6611 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-04-07 |
Last Update Date | 2020-04-07 |