| NPI | 1518085638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI L VANDEVEER Owner Counselor 217-726-7273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A35150001A) |
| Enumeration Date | 2007-03-27 |
| Last Update Date | 2010-04-20 |