| NPI | 1861904187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONY KIRKMAN Executive Director 217-762-5371 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-0277-0001-A) |
| Enumeration Date | 2017-10-26 |
| Last Update Date | 2025-09-15 |