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Organization

RECOVERY OPTIONS OF CHAMPAIGN COUNTY LTD

Active
Other names
Recovery Options
Organization subpart
No

Provider details

NPI number
Authorized official
JOHN AUSTIN PETERSON MD (EX DIRECTOR)
(217) 344-2740
Entity
Organization

Contact information

Practice address
2917 B1 CROSSING COURT, CHAMPAIGN, IL 61822
(217) 344-2740
(217) 344-2819
Mailing address
2917 B1 CROSSING COURT, CHAMPAIGN, IL 61822
(217) 344-2740
(217) 344-2819

Taxonomy

Speciality
Code
Description
License number
State
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
Primary
036083081
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
036083081
STATE LICENSE NUMBER
IL
Enumeration date
12/16/2008
Last updated
04/27/2022
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