NPI | 1861901043 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP W. EATON CEO 815-387-5600 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL A-0601-0052-A) |
Enumeration Date | 2017-09-20 |
Last Update Date | 2018-04-24 |