| NPI | 1912412453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN FRANCIS SCHUSTER SVP And CFO 815-387-5642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2017-12-06 |
| Last Update Date | 2018-04-24 |