NPI | 1912371824 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN RETTICK Chief Financial Officer 309-827-6026 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Enumeration Date | 2015-11-17 |
Last Update Date | 2015-11-17 |