| 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 |