| 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 |