| NPI | 1124206800 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN M ROWLAND CEO 312-372-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: IL A-0274-0016-A) |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A-0274-0016-A) |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2020-03-25 |