NPI | 1255795902 |
---|---|
Entity Type | Organization |
Authorized Contact | AMANDA BECHARD Billing And Claims Specialist 217-323-2980 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
Enumeration Date | 2016-04-08 |
Last Update Date | 2020-03-10 |