| NPI | 1235090416 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADONNA TAYLOR Executive Director 708-552-6989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 276400000X Rehabilitation, Substance Use Disorder Unit |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-11-18 |
| Last Update Date | 2026-04-07 |