| NPI | 1073155958 |
|---|---|
| Doing Business As | SUZYS PLACE |
| Entity Type | Organization |
| Authorized Contact | CHARLES LEVY Chief Legal Counsel 773-544-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2019-10-12 |
| Last Update Date | 2019-10-12 |