| NPI | 1134553076 |
|---|---|
| Doing Business As | PLCCA |
| Entity Type | Organization |
| Authorized Contact | CLAUDE PORTER CEO 708-450-3500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2013-08-28 |
| Last Update Date | 2024-03-20 |