NPI | 1104365063 |
---|---|
Doing Business As | AUNT MARTHA'S SEADAC |
Entity Type | Organization |
Authorized Contact | MARY MARTIN CFO 708-825-5976 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
Enumeration Date | 2017-02-13 |
Last Update Date | 2023-05-15 |