NPI | 1952805814 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM FEAR Assoc Exec Dir Of Hr And Finance 815-432-5241 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2018-03-23 |
Last Update Date | 2019-01-09 |