| NPI | 1801336938 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES R. SWARD Director 309-371-4777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-2396-0001-A) |
| Enumeration Date | 2017-03-08 |
| Last Update Date | 2017-03-08 |