| NPI | 1699848135 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE KALEMBA Associate Director 815-444-6400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 0834) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2020-08-22 |