| NPI | 1215171293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM BRAMLETT CEO/President 708-923-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
| Enumeration Date | 2009-04-22 |
| Last Update Date | 2018-03-09 |