NPI | 1265979694 |
---|---|
Entity Type | Organization |
Authorized Contact | ADENIYI KUYE Vice President Of Operation 773-783-3579 |
Organization Subpart ? | No |
Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL IL-10136-M) |
Enumeration Date | 2017-01-24 |
Last Update Date | 2017-01-24 |