NPI | 1003385881 |
---|---|
Entity Type | Organization |
Authorized Contact | ANN CAMPEN Executive Director Of Finance 309-671-8025 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2018-11-21 |
Last Update Date | 2024-06-06 |