| NPI | 1033933106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAUREN MELCHI Owner 217-954-1128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2024-11-14 |