| NPI | 1528376985 |
|---|---|
| Former Legal Business Name | DUI COUNTERMEASURES |
| Entity Type | Organization |
| Authorized Contact | MICHELLE M. MATURY Director 309-827-0818 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL A-1028-0001-A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL A-1028-0004-A) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL A-1028-0005-A) | |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |