| NPI | 1720259401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHY BRANNING VP Of Marketing/Fund Development 815-962-0871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-0559-0006-A) |
| Enumeration Date | 2008-03-20 |
| Last Update Date | 2018-08-28 |