| NPI | 1013718303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ETHEL ANN BASS CEO 630-499-6197 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-03-21 |
| Last Update Date | 2025-03-21 |