| NPI | 1346789294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINUS ANUKWU Owner 217-356-3400 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IL 31023) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |