| NPI | 1922311679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KENNEDY President/CEO 309-671-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IL 04074) |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2010-07-23 |
| Last Update Date | 2018-03-17 |