NPI | 1245480060 |
---|---|
Entity Type | Organization |
Authorized Contact | PHILIP W. EATON CEO / President 815-391-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2008-09-29 |
Last Update Date | 2009-07-22 |