| NPI | 1558599803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP W. EATON President/CEO 815-391-0100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children (Licence: IL A-0601-0026-A) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2009-06-25 |