| NPI | 1134613748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TORI MEDINA President 630-493-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-3689-0001-A) |
| Enumeration Date | 2018-06-18 |
| Last Update Date | 2018-06-18 |