NPI | 1881828788 |
---|---|
Other Name | VANTAGE POINT |
Entity Type | Organization |
Authorized Contact | DANIEL P BOEHMER Executive Director 618-242-1994 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL 002250002) |
Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2009-05-06 |
Last Update Date | 2019-01-08 |