| NPI | 1396299665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL RANEY CEO 217-693-3021 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A06060002A) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2016-08-04 |