| NPI | 1558748947 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESSA M. PERDIEU Executive Director 217-348-8108 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A-0631-0010-A) |
| Enumeration Date | 2015-05-05 |
| Last Update Date | 2018-10-22 |