| NPI | 1568518496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKEY RAE FINCH Chief Executive Officer 618-833-4456 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A-0626-0002-A) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2020-08-22 |