RENEST OF ILLINOIS SUPR

ROCKFORD, IL
NPI1871228494
Doing Business AsRENEST
Entity TypeOrganization
Authorized ContactTHERESA WADDELL
Administrative Office
844-473-6378
Organization Subpart ?No
Primary Taxonomy261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder
Additional Taxonomies276400000X Rehabilitation, Substance Use Disorder Unit
324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2022-07-18
Last Update Date2025-03-14
Business Address
RENEST OF ILLINOIS SUPR
910 2ND AVE
ROCKFORD, IL 61104-2162
Phone number: 844-473-6378
Mailing Address
RENEST OF ILLINOIS SUPR
910 2ND AVE
ROCKFORD, IL 61104-2162
Phone number: 270-839-6743