| NPI | 1063891646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP EATON CEO / President 815-391-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2015-05-28 |
| Last Update Date | 2022-08-11 |