NPI | 1538308747 |
---|---|
Doing Business As | CITY OF REFUGE COMMUNITY DEVELOPMENT CORPORATION |
Entity Type | Organization |
Authorized Contact | TIMOTHY CRISS President & CEO 309-676-5645 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic (Licence: IL A-2843-0001-A) |
Enumeration Date | 2009-02-11 |
Last Update Date | 2009-02-11 |