| NPI | 1144340845 |
|---|---|
| Doing Business As | WEST SUBURBAN SITE |
| Entity Type | Organization |
| Authorized Contact | OSWALD RAMBARRAN Site Director 508-616-2804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Enumeration Date | 2007-03-29 |
| Last Update Date | 2007-08-27 |