| NPI | 1225622939 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA J RATCLIFFE Administrator 773-239-9600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-02-23 |
| Last Update Date | 2021-02-23 |