| NPI | 1508504309 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GOMEL President/CEO 815-391-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2022-05-23 |