| NPI | 1407832611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP W EATON President/CEO 815-391-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2005-12-20 |
| Last Update Date | 2009-06-29 |