| NPI | 1154490985 |
|---|---|
| Doing Business As | NEW OUTPATIENT CENTER |
| Entity Type | Organization |
| Authorized Contact | JOHN SCHUSTER Senior Vice President/CFO 815-387-5642 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IA 1231) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-11-07 |
| Last Update Date | 2020-01-23 |