| NPI | 1871677039 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIE A ANDREWS Director Of Addictions 815-284-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL 149004056) |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2020-08-22 |