| NPI | 1457690216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY A. EPPERSON Owner/Director 217-345-3156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-6036-0001-A) |
| Enumeration Date | 2013-02-13 |
| Last Update Date | 2019-02-17 |