NPI | 1366129843 |
---|---|
Doing Business As | SURVIVOR RECOVERY CENTER |
Entity Type | Organization |
Authorized Contact | IRIS WESLEY CEO 217-757-8137 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Enumeration Date | 2023-06-28 |
Last Update Date | 2023-06-28 |