| NPI | 1255508941 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK MICHAEL JORDAN President 708-344-0884 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL A-4749-0001-A) |
| Additional Taxonomies | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A-4749-0001-A) |
| Enumeration Date | 2008-05-12 |
| Last Update Date | 2016-06-21 |