| NPI | 1578443388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE SUE PAPAGEORGE Accounts Receivable Specialist 309-827-5351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-09-03 |
| Last Update Date | 2025-09-03 |