| NPI | 1336630029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARMEN A MEEKINS CEO 312-296-1069 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X |
| 252Y00000X Early Intervention Provider Agency | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2018-05-29 |
| Last Update Date | 2018-05-29 |