| NPI | 1003576315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE ZIMMERMAN VP Of Revenue Cycle 217-649-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2021-12-28 |
| Last Update Date | 2021-12-28 |