NPI | 1255483533 |
---|---|
Entity Type | Organization |
Authorized Contact | GREG SIMPSON Clinical Director 773-883-3906 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IL A41830001A) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2012-08-27 |