| NPI | 1336529858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP EATON CEO / President 815-391-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2015-06-01 |
| Last Update Date | 2015-06-01 |