| NPI | 1063702330 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY OLUJIMI President/CEO 708-297-8580 |
| Organization Subpart ? | |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IL A-5212-0001-A) |
| Additional Taxonomies | 261QM2800X Clinic/Center Methadone (Licence: IL A-5212-0001-A) |
| 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: IL A-5212-0001-A) | |
| Enumeration Date | 2011-04-07 |
| Last Update Date | 2017-12-22 |