| NPI | 1982093837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL W DOUGLAS Vice President And CFO 815-935-7256 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: IL 0002014) |
| Enumeration Date | 2015-01-15 |
| Last Update Date | 2015-01-15 |