| NPI | 1548247349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP W EATON President CEO 815-391-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2005-12-22 |
| Last Update Date | 2015-11-25 |