NPI | 1245781079 |
---|---|
Entity Type | Organization |
Authorized Contact | MEGAN MARIE TAYLOR Managed Care Superviosr 888-924-3786 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A-0126-0010-A) |
Enumeration Date | 2016-10-17 |
Last Update Date | 2023-03-16 |