NPI | 1326279068 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL KENNEDY President/CEO 309-671-8089 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A03240003A) |
Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: IL A-0324-0003-A) |
Enumeration Date | 2009-07-29 |
Last Update Date | 2017-12-12 |