| NPI | 1629426002 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHIL EATON CEO / President 815-391-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2019-07-02 |