| NPI | 1861332736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA FRIEDMAN Revenue Cycle Manager 309-340-9705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2026-03-31 |
| Last Update Date | 2026-03-31 |