| NPI | 1225415144 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN CAMPEN CFO 309-671-8025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-0324-0016-A) |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2021-10-27 |