| NPI | 1366925489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES H SWANSON Director 312-227-7118 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-09-13 |
| Last Update Date | 2018-09-13 |