| NPI | 1275026692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES EAGLIN Director/Owner 847-881-6316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-06-11 |
| Last Update Date | 2019-05-02 |