| NPI | 1154708923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL RANEY CEO 217-693-3021 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL A06060007A) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-0606-0007-A) |
| Enumeration Date | 2015-04-30 |
| Last Update Date | 2022-07-21 |