| NPI | 1487132015 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANASTASIA NORVILLE Social Worker 309-235-2763 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| Enumeration Date | 2018-08-06 |
| Last Update Date | 2018-08-06 |