| NPI | 1316638687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH SCHERER Billing/Credentialing 217-854-3166 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2024-10-24 |