| NPI | 1093354037 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCIEN IZRAYLOV President 847-877-2440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-12-21 |
| Last Update Date | 2024-11-14 |