| NPI | 1235768607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA A GOOD VP/CFO 815-284-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2020-04-07 |
| Last Update Date | 2020-04-07 |