NPI | 1225588759 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA SNELTEN Chief Operating Officer 847-546-6450 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL a-0614-0003) |
Enumeration Date | 2016-10-07 |
Last Update Date | 2021-04-06 |