NPI | 1144741844 |
---|---|
Entity Type | Organization |
Authorized Contact | ERNEST C. ROSE Medical Director / CEO 309-686-1600 |
Organization Subpart ? | No |
Primary Taxonomy | 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: IL 036-059239) |
Enumeration Date | 2017-07-03 |
Last Update Date | 2022-07-21 |