| NPI | 1356560320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS M DEE Program Director 847-742-0413 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IL A00150001A) |
| Enumeration Date | 2007-04-25 |
| Last Update Date | 2008-10-24 |