| NPI | 1881630689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL KENNEDY President/CEO 309-671-8005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2017-12-12 |