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 |