NPI | 1982928677 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVE ROACH Executive Director 217-523-9201 |
Organization Subpart ? | Yes |
Primary Taxonomy | 253J00000X Foster Care Agency (Licence: IL 003973) |
Enumeration Date | 2010-03-24 |
Last Update Date | 2021-06-23 |