| NPI | 1023434917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNESTINA ONTIVEROS President/CEO 773-522-5460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-8712-0001-A) |
| Additional Taxonomies | 251S00000X (Licence: IL A-8712-0001-A) |
| Enumeration Date | 2014-03-15 |
| Last Update Date | 2014-03-15 |