NPI | 1326665423 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSECA WATSON Credentialing Manager 630-572-8228 |
Organization Subpart ? | No |
Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
Additional Taxonomies | 261QM2800X Clinic/Center, Methadone Clinic |
261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
Enumeration Date | 2020-07-06 |
Last Update Date | 2020-07-06 |