| NPI | 1164239299 |
|---|---|
| Other Name | HER HARBOR RECOVERY CENTER |
| Entity Type | Organization |
| Authorized Contact | MICHELLE JOHNS Manager 815-919-0595 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-12-12 |
| Last Update Date | 2024-12-12 |