| NPI | 1841931235 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE HODGES Counselor/Owner 309-553-3070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2022-04-07 |
| Last Update Date | 2022-04-07 |