NPI | 1306182043 |
---|---|
Entity Type | Organization |
Authorized Contact | PHIL EATON CEO / President 815-391-1000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
Enumeration Date | 2012-12-28 |
Last Update Date | 2015-11-25 |