NPI | 1184976201 |
---|---|
Entity Type | Organization |
Authorized Contact | PHIL EATON President CEO 815-391-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2012-10-12 |
Last Update Date | 2012-10-12 |