NPI | 1730685389 |
---|---|
Entity Type | Organization |
Authorized Contact | DENNIS DUKE President 309-779-2043 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
273R00000X Psychiatric Unit | |
276400000X Rehabilitation, Substance Use Disorder Unit | |
324500000X Substance Abuse Rehabilitation Facility | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
251S00000X | |
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
Enumeration Date | 2018-04-03 |
Last Update Date | 2022-06-01 |