| NPI | 1841504222 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED NIRDE President/CEO 309-671-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-07-28 |
| Last Update Date | 2010-07-28 |