| NPI | 1164036661 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIPIN SHARMA Owner 708-250-0520 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| 276400000X Rehabilitation, Substance Use Disorder Unit | |
| Enumeration Date | 2020-09-02 |
| Last Update Date | 2020-09-02 |