| NPI | 1639170285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AL R DOYLE Medical Director 309-757-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A-3692-0001-A) |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: IL A-3692-0001-A) | |
| Enumeration Date | 2005-08-04 |
| Last Update Date | 2018-06-16 |