| NPI | 1063989143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHAMMAD KHAMIS President/CEO 773-353-5047 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-10-26 |