NPI | 1033340773 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL KENNEDY President/CEO 309-671-8089 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A03240008A) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A0324-0008-A) |
Enumeration Date | 2009-07-29 |
Last Update Date | 2017-12-12 |