| NPI | 1528769825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESA SMITH CFO 217-357-8573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-03-14 |
| Last Update Date | 2023-03-14 |