| NPI | 1497119812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXIE OLIVER Executive Director 217-773-3325 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2021-07-06 |