| NPI | 1093567000 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SPROWL Chief Medical Officer 773-257-4320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| Enumeration Date | 2024-04-03 |
| Last Update Date | 2024-05-13 |