| NPI | 1396300638 |
|---|---|
| Other Name | CROSSING RECOVERY CENTER MEN'S UNIT ONE |
| Entity Type | Organization |
| Authorized Contact | THOMAS WEST CFO 217-877-4694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |