NPI | 1194363408 |
---|---|
Entity Type | Organization |
Authorized Contact | ROUEEN RAFEYAN President 312-663-1130 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
Enumeration Date | 2019-12-17 |
Last Update Date | 2024-06-14 |