| NPI | 1871769802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY MURPHY Administrator 815-777-0263 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IL 036107472) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2008-04-30 |