| NPI | 1033613997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM FEAR Assoc Exec Dir Of Hr And Finance 815-432-5241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |