| NPI | 1235564527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES E BECKETT Medical Director Owner 708-341-6707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-3194-0001-A) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2017-02-19 |