| NPI | 1518428226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICK HOWELL Executive Director 815-261-3450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-03-26 |
| Last Update Date | 2023-09-20 |