| NPI | 1104301688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE LILLY COO 630-844-2662 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Enumeration Date | 2018-10-01 |
| Last Update Date | 2018-10-01 |