| NPI | 1275141590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID TORTORELLA Medical Director 773-450-7004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083A0300X Preventive Medicine, Addiction Medicine |
| Enumeration Date | 2020-07-22 |
| Last Update Date | 2020-07-22 |