| NPI | 1144007675 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NELL PIETRZYK Director 312-796-4884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM0801X |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-08 |