| NPI | 1306425103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM HARTMANN VP Business/It Services 773-252-8945 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-04-07 |
| Last Update Date | 2023-02-21 |