| NPI | 1942485230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL MUSSEY President 217-352-6989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness (Licence: IL 05005) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |