Organization
ILLINOIS RECOVERY CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC CONLEY (CEO)
(772) 353-1089
Entity
Organization
Contact information
Practice address
1450 CASEYVILLE AVE, SWANSEA, IL 62226-4517
(888) 510-3133
Mailing address
1450 CASEYVILLE AVE, SWANSEA, IL 62226-4517
Taxonomy
Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
—
—
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
—
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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