Renest of Illinois Supr
NPI #1871228494 in Rockford, Illinois
Provider Information
- NPI Number
- 1871228494
- Entity Type
- Organization
- Organization Name
- Renest of Illinois Supr
- Primary Specialty
- Clinic/Center - Rehabilitation, Substance Use Disorder
- Enumeration Date
- Jul 18, 2022
- Last Updated
- Mar 14, 2025
Practice Location
Authorized Official
- Name
- THERESA WADDELL, CADC, MA
- Title
- ADMINISTRATIVE OFFICE
- Phone
- (844) 473-6378
Specialties & Taxonomy Codes
| Specialty |
|---|
| Rehabilitation, Substance Use Disorder Unit |
| Substance Abuse Rehabilitation Facility |
| Clinic/Center - Rehabilitation, Substance Use Disorder — Rehabilitation, Substance Use Disorder |
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