| NPI | 1326589805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS P. HOPKINS Executive Director 815-432-5241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-03-16 |
| Last Update Date | 2017-03-16 |