| NPI | 1518398387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL EATON CEO/President 815-391-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2013-12-04 |
| Last Update Date | 2013-12-05 |