REMEDIES RENEWING LIVES

NPI # 

Practice Address:

215 Easton Pkwy

Rockford, IL, 61108

Practice Phone:

815-962-0871

Practice Fax:

815-962-7895

License Number:

A-0559-0005-A

License State:

IL

Taxonomy Grouping:

Ambulatory Health Care Facilities

Taxonomy Classification:

Clinic/Center

Taxonomy Specialization:

Methadone

Taxonomy Code:

261QM2800X