| NPI | 1881058329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY RIORDAN Chief Operating Officer 309-323-6607 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IL 512961) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2016-04-11 |
| Last Update Date | 2021-10-13 |