| NPI | 1972946739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE S STRASSHEIM Cheif Executive Officer 309-452-1170 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261Q00000X (Licence: IL 020329) |
| 323P00000X Psychiatric Residential Treatment Facility (Licence: IL 020328) | |
| Enumeration Date | 2013-04-11 |
| Last Update Date | 2013-04-11 |