| NPI | 1295854446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA F DAVIS Department Director 312-655-7167 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2007-03-28 |
| Last Update Date | 2023-05-31 |