| NPI | 1891060471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA FERGUSON Chief Executive Officer 217-398-8080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A-1801-0002-A) |
| Enumeration Date | 2012-03-15 |
| Last Update Date | 2013-08-28 |