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 |