| NPI | 1063822823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULETTE R. EASON-WILLIAMS Executive Director 773-238-5555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 251S00000X Community/Behavioral Health | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2026-02-25 |