| 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 |