| NPI | 1992674014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINE HILL Director Of Finance 815-741-7083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-11-05 |
| Last Update Date | 2025-11-10 |