| NPI | 1104582154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE VAYSBERG CFO 847-345-5541 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2025-05-20 |