NPI | 1336608439 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES EDWARD BECKETT Medical Director/President 708-341-6707 |
Organization Subpart ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
Enumeration Date | 2019-03-18 |
Last Update Date | 2019-03-18 |