| NPI | 1336693704 |
|---|---|
| Other Name | ANIXTER CENTER AT KENSINGTON PLACE |
| Entity Type | Organization |
| Authorized Contact | HEIDI OLKOWSKI Claims Analyst 773-697-6529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2016-08-15 |
| Last Update Date | 2021-04-28 |