| NPI | 1033623640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANCIS SCHUSTER SVP And CFO 815-387-5642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-11-20 |
| Last Update Date | 2017-11-20 |