| NPI | 1205399524 |
|---|---|
| Doing Business As | LSSI MADO HEALTHCARE BUENA PARK |
| Entity Type | Organization |
| Authorized Contact | GREERANN LOVETTE HAMBLET Business Manager 847-390-1422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2019-04-12 |