NPI | 1922373968 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY RIORDAN Cheif Operating Officer 309-671-5700 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: IL 512961) |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2012-03-08 |
Last Update Date | 2021-10-13 |