| NPI | 1235224908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL L. ANDERSON Executive Director 312-563-3593 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder (Licence: IL A-9210-0002-A) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2008-01-22 |