| NPI | 1366144586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIQUITA LEE CEO 773-304-3699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children |
| Enumeration Date | 2023-03-21 |
| Last Update Date | 2023-03-21 |