| NPI | 1033340773 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN CAMPEN Executive Director Of Finance 309-671-8025 |
| 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 | 2024-06-06 |