| NPI | 1316780703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA J GOLDEN Executive Director 773-306-2975 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2800X Clinic/Center, Methadone Clinic |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 261Q00000X Clinic/Center | |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-06-14 |