| NPI | 1942621768 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA MOODY CEO 309-799-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: IL 001583-11) |
| Enumeration Date | 2013-12-20 |
| Last Update Date | 2013-12-20 |