| NPI | 1962126490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAL ROBERT THOMAS Chief Development Officer 217-528-7541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0800X Clinic/Center Recovery Care |
| Enumeration Date | 2022-09-28 |
| Last Update Date | 2022-09-28 |