| NPI | 1972905438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA L MOODY CEO 309-799-7044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 460847) |
| Additional Taxonomies | 251B00000X Case Management (Licence: IL 460847) |
| Enumeration Date | 2014-09-16 |
| Last Update Date | 2014-09-16 |