NPI | 1922277045 |
---|---|
Former Legal Business Name | DECATUR MENTAL CENTER |
Entity Type | Organization |
Authorized Contact | DIANA KNAEBE President/CEO 217-362-6262 |
Organization Subpart ? | Yes |
Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL T) |
Additional Taxonomies | 261QM0801X |
Enumeration Date | 2008-02-22 |
Last Update Date | 2024-01-04 |