NPI | 1164475018 |
---|---|
Entity Type | Organization |
Authorized Contact | TAKASHA MCINTOSH Director Of Compliance 773-722-7900 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IL 002520001) |
101YM0800X Counselor, Mental Health (Licence: IL 002520001) | |
103TM1800X Psychologist, Intellectual & Developmental Disabilities (Licence: IL 002520001) | |
251S00000X | |
261QM2800X Clinic/Center, Methadone Clinic | |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
276400000X Rehabilitation, Substance Use Disorder Unit | |
324500000X Substance Abuse Rehabilitation Facility | |
3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
Enumeration Date | 2006-05-19 |
Last Update Date | 2024-04-16 |